654 
REPORTS OF CASES. 
In a few days he was again brought to the office, 
and showed no improvement. October i I was called 
to see him. Appetite good, pulse 36, temperature ioo° F. 
bowels regular and of good color, legs swollen to mid wav be¬ 
tween knee and elbow, the swelling having the characteristic 
abrupt ending of purpura ; hind limbs and sheath normal. 
I suspected scarlatina, but there were no symptoms except 
the swelling, with a mild sore throat. I placed him under ab¬ 
sorbents and stimulated the kidneys. 
O11 October 4 I was hurriedly called to see the patient Not 
being m at the time, I did not see him for an hour after the 
telephone message. I found the patient with a temperature of 
ioi ^°, pulse 40, sweating profusely, tossing head and showino- 
geneial symptoms of abdominal pain, with considerable tremor 
of the muscular system. Fifteen minutes before the attack he 
had drank moderately of cold water from trough, beino- pre¬ 
viously used to water with the chill off, and I attributelf the 
suffering to the cold water. 
I found on examination that the breast was enormously 
swollen as far up as the neck, particularly between the front 
legs and in front of the breast, with very prominent enlarge¬ 
ment showing plainly in the location of the thymus gland on 
each side of the trachea, protruding larger than a base-ball 
with no heat nor tenderness to the touch. 
A few minutes alter calling he began to eat his hay, and in 
twenty minutes was entirely quiet, dried off and ready for his 
supper. 
He continued in the same condition, except that the swell¬ 
ing extended under the belly, two-thirds of the way back to 
the sheath. In all his sickness, his hind legs and sheath re¬ 
mained normal. 
I then ga\ e him mild heart stimulants, absorbents and diu¬ 
retics, with light diet of oats and bran and good hay. His 
spints remained good, but he had some difficulty in moving on 
account of the swelling. He continued with some abatement 
01 the swelling until the 9th, when he was turned into the 
yard. He enjoyed it, and walked about and ate quite freely of 
grass. In twenty minutes he had another attack, sweating 
reely, pawing, tossing head, and tremors. In thirty minutes 
he was again quiet, without the use of anodynes. The swell¬ 
ing seemed reduced, but the enlargement at seat of the Hands 
was more prominent. He was then left in his box until the 
1 3th, with, I thought, improvement. 
